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KMID : 1202020140070020111
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Journal of Korean Thyroid Association
2014 Volume.7 No. 2 p.111 ~ p.117
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Non-surgical, Image-guided Management of Benign ThyroidNodules
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Shin Jung-Hee
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Abstract
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Most thyroid nodules are cytologically benign and can be managed nonsurgically. Asymptomatic benign nodulesrequire follow-up without treatment. Cosmetic problems and/or compression-related symptoms may be indicationsfor treatment. Until now in clinical practices, nonsurgical image-guided therapy includes percutaneous ethanolinjection, radiofrequency ablation, laser ablation, and high intensity focused ultrasound. Percutaneous ethanolinjection should be used as the first-line therapy for recurrent symptomatic cystic nodules. Radiofrequency ablationis an effective procedure for obtaining shrinkage and improving symptoms of solid thyroid nodules. Betterunderstanding of image-guided therapy makes physicians personalize the management of benign thyroid nodulesaccording to a cost-benefit analysis.
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KEYWORD
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Thyroid nodule, Ultrasonography, Radiofrequency ablation
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